Individual
JOCELYN DE CORTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 NORTH 200 WEST, SUITE 300, PROVO, UT 84601
(801) 373-4760
Mailing address
750 NORTH 200 WEST, SUITE 300, PROVO, UT 84601
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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